DR. RICARDO L. RODRIGUEZ
Board-Certified, American Board of Plastic Surgery
Founder, Ricardo L. Rodriguez MD, Baltimore Plastic Surgeon
Medical Director, Cosmetic Surgery Facility, LLC
Facial rejuvenation procedures have come a long way in the past few decades, offering individuals a range of options to reverse the effects of aging and restore a more youthful appearance. The majority of patients can achieve a fantastic youthful result with just component facial procedures, as opposed to a full-blown face lift. You can […]
Patients routinely get fat grafts to the face, breast, and buttocks. However, some patients do not get the result they wanted because the fat graft did not ‘take.’ So, what happened? Why do fat grafts sometimes die or fail to take? In this post, I will explain one of the most important factors in creating a long-lasting fat graft. When the recipient tissue is normal, there really should be no need for a touch-up, or revision. Plastic surgeons have all of the tools they need to create a good fat graft on the first try!
Plastic surgeons have been performing Fat grafting surgeries for over a hundred years. Patients interested in having a procedure involving fat grafting should be familiar enough with the process to ask questions during their consultation.
The success of fat grafting is highly dependent on the skill and technique of the surgeon as well as the patient’s attention to detail and instructions during post-op.
Here are 10 questions to arm yourself with prior to a consultation for any plastic surgery involving a fat transfer:
Fat grafts to the face are a great way to rejuvenate your face. As you age, your dermis thins, and your face will sag.You may lose volume in your cheeks and under your eyes. These areas appear to be hollow or not as defined as they were when you were younger. Additionally, some people have areas of their face lacking volume no matter what their age. Fat grafts will naturally fill those areas to restore your youthful appearance. Additionally, your own adipose fat contains adults stem cells. Adult stem cells have regenerative properties that can increase blood supply to your tissue and skin to make you look younger.
In summary, Laser resurfacing technologies destroy tissue (which the body repairs), while fat grafting (Fat injections) builds up and regenerates tissues.
Most lasers shoot a high energy beam which vaporizes cells, whereas fat grafting techniques mobilize teams of repair cells to bring more blood supply and nutrients to your face.
I believe that stem cell enhanced fat grafting offers an advantage to lasers currently being used by plastic surgeons and dermatologists. Fat grafts are the most natural way to get a long lasting youthful rejuvenation of your face.
The year 2010 ushers in a new decade where science , beauty, and your own fat make a marriage that promises to deliver one of the most disruptive medical technologies of the century. Dr. Ricardo Rodriguez, a Yale trained Plastic Surgeon believes that stem cells from your own fat will lead the cosmetic surgery trends.
Fat injections are long lasting if done correctly. That is my position and I stand by it! If you frequent various plastic surgery blogs, there is a big difference in the types of techniques that surgeons are using. Thus, there is a wide variation in their results, so many patients think that fat injections do not last. Fat injections are permanent if the following is done:
During the past decade, researchers have discovered that stem cells can also be extracted from your own fat tissue. These adult stem cells have the same potential as embryonic stem cells, except for the ability to differentiate into sperm or ova. Unlike embryonal stem cells, stem cells extracted from your own fat are abundant, easily available, and pose no ethical or political controversy.
Five levels of anesthesia used in Cosmetic Surgery are:
I did my first case of micro fat grafting to the face over 20 years ago. It was a patient that had acne scarring in her face. During the decade of the 90’s I had tried laser for that problem, under the theory that you could level the skin.
Frankly the results were OK, not great, because the pits were not filled. Fat grafting was used to fill the pits under the skin. The great surprise was how good the skin looked after the fat injections ! The skin became rosier, softer, and just younger looking.
What can one do for bags under the eyes? For many years, patients would come to me asking to remove the bags under the eyelids, saying the bags made them look old and tired. I usually recommended a standard blepharoplasty or Eye lift. That involves making an incision right under the eyelashes, lifting skin and the muscle that is right under the skin. I would then remove the fat. It was the standard solution but it had several drawbacks.
Several people have asked me if fat grafts are permanent. They keep reading from other sources that fat grafts are not permanent or that they may need another procedure. In my experience, when done correctly, fat grafts are permanent, and I have yet to do a second procedure to add more fat in any of my patients. This is because of the way fat is harvested and the choice of sites for harvesting fat are crucial to the success of the Brazilian butt lift or any other fat injection procedure. In this blog entry I will detail how I harvest fat, process it, inject it, and care for the graft after surgery. In a subsequent entry I will describe how choice of harvest site matters.
Restylane and Juvederm etc., are wonderful options for tissue fillers, but their effect seems to be measured in months. Sculptra can provide volume to many of the same areas, but for a longer period of time (12-24 months). This is increasingly becoming a good choice for many of my Baltimore patients.
Most patients who come to my office don’t come in asking for a full facelift. Most come asking for a specific face procedure to “make them look younger”. If they are relatively young, they focus on the nasolabial folds the lines that go from the side of the nose to the corners of the lips). Or they may mention the lips, how they are getting thinner. If they are somewhat older, they will focus on the jawline and neck. I listen to them, because that is what they are concerned about, but then I have to ask: Do you want to look better to yourself or to others?
